Physician-ordered respiratory care vs physician-ordered use of a respiratory therapy consult service : Results of a prospective observation study.
To assess the impact of a respiratory therapy consult service (RTCS) on practices and appropriateness of ordering respiratory care services Design : Non randomized prospective observational cohort study with concurrent controls.
Adult non-ICU inpatient wards of an academic medical center.
A convenience sample of 98 adult non-ICU inpatients at the Cleveland Clinic Hospital, representing 20 inpatient clinical services.
Patients whose respiratory care plans were determined by respiratory care practitioners using sign and symptom-based algorithms to specify treatment comprised the treatment group (n=51, respiratory therapy consult group).
The nonconsult group (n=47) were patients whose respiratory care plans were specified by their own physicians.
Specification of the respiratory care plan by the RTCS vs by the physicians themselves.
Use of the RTCS was at the discretion of the managing physician.
Types and number of respiratory care treatments, length of hospital stay, costs of the respiratory therapy provided, appropriateness of respiratory care orders (based on comparison of the actual respiratory care orders with a reference respiratory care plan generated by a study investigator who was kept blind to the actual respiratory care plan), and adverse respiratory events. (...)
Mots-clés Pascal : Pneumopathie, Spécialité médicale, Pneumologie, Consultation, Système santé, Evaluation, Analyse avantage coût, Etats Unis, Amérique du Nord, Amérique, Traitement, Homme, Appareil respiratoire pathologie
Mots-clés Pascal anglais : Pneumopathy, Medical specialty, Pneumology, Consultation, Health system, Evaluation, Cost benefit analysis, United States, North America, America, Treatment, Human, Respiratory disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0405434
Code Inist : 002B30A01B. Création : 10/04/1997.